Certificate Course in Yoga Studies – Application Form Rashtrotthana Yogic Science & Research Institute Keshava Shilpa, Kempegowda nagar, Bangalore - 560 004 Certificate Course in Yoga Studies Application Read the instructions carefully before filling up the form First Name Last Name Candidate Photo Nationality Gender MaleFemaleTransgender Date of Birth Mother's Name Occupation Father's Name Occupation Guardian's Name Occupation Parents Annual Income If employed, employment details (Company Name & Address) Annual Income Are you from below Poverty Line Family (BPL) YesNo Category SCSTOBCGM Aadhar Card No Upload Aadhar Card City State Pincode Phone No Alternate No E-mail Id Have you studied in Rural Area upto X Std. YesNo Have you studied in Kannada Medium upto 10th Std. YesNo SSLC Reg No. Year. Percent Upload Marks Card PUC Reg No. Year. Percent Upload Marks Card Degree - Course University Degree Reg No. Year. Percent PG Degree Course University Degree Reg No. Year. Percent Other Examination passed Any other information you would like to furnish Total Nos. of enclosures attested by Gazetted Office Declaration of the Candidate I hereby declare that the above information provide by me is true, I have not concealed any information. The College (PASSA) can initiate action against me, if i have furnished any wrong information. Δ